Valve sparing aortic root replacement (David Procedure) in 36 year — old woman with the Marfan syndrome at the 27th week of pregnancy

Basylev V.V.; Rosseikin E.V.; Evdokimov M.E.; Pantyuhina M.A.

doi:https://doi.org/10.17116/hirurgia2018875

Basylev V.V.

Federal Center for Cardiovascular Surgery under Ministry of Health of the Russian Federation, 440071, Penza, Russia

Rosseikin E.V.

Federal Center for Cardiovascular Surgery under Ministry of Health of the Russian Federation, 440071, Penza, Russia

Evdokimov M.E.

Federal Center for Cardiovascular Surgery under Ministry of Health of the Russian Federation, 440071, Penza, Russia

Pantyuhina M.A.

Federal Center for Cardiovascular Surgery under Ministry of Health of the Russian Federation, 440071, Penza, Russia

Valve sparing aortic root replacement (David Procedure) in 36 year — old woman with the Marfan syndrome at the 27th week of pregnancy

Authors:

Basylev V.V., Rosseikin E.V., Evdokimov M.E., Pantyuhina M.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2018;(8): 75‑77

DOI: 10.17116/hirurgia2018875

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To cite this article:

Basylev VV, Rosseikin EV, Evdokimov ME, Pantyuhina MA. Valve sparing aortic root replacement (David Procedure) in 36 year — old woman with the Marfan syndrome at the 27th week of pregnancy. Pirogov Russian Journal of Surgery. 2018;(8):75‑77. (In Russ.)
https://doi.org/10.17116/hirurgia2018875

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

The article presents a clinical case of valve sparing aortic root replacement (David Procedure) in 36 year - old woman with the Marfan syndrome at the 27th week of gestation followed by successful prolongation of pregnancy. Indications for reconstructive intervention with cardiopulmonary bypass were: severe aortic valve insufficiency, Sinus of Valsalva Aneurysm (66 mm) and the ascending aorta dilatation (53 mm) with a rapid increase of aortic root dimension (12 mm during 9 weeks). The patient underwent a valve sparing aortic root replacement according to David procedure using Gelweave Valsalva graft (Vascutec) No 28 The time of cardiopulmonary bypass was 137 minutes; the time of aortic cross-clamping was 107 minutes. The patient was discharged from the hospital in a satisfactory condition in 21 days after the operation. Pregnancy was prolonged and ended with a planned cesarean section at 38 weeks of gestation, the birth of a boy with an Apgar score of 7/8.

Keywords:

cesarean section

pregnancy extracorporeal circulation

Marfan syndrome

Authors:

Basylev V.V.

Federal Center for Cardiovascular Surgery under Ministry of Health of the Russian Federation, 440071, Penza, Russia

Rosseikin E.V.

Federal Center for Cardiovascular Surgery under Ministry of Health of the Russian Federation, 440071, Penza, Russia

Evdokimov M.E.

Federal Center for Cardiovascular Surgery under Ministry of Health of the Russian Federation, 440071, Penza, Russia

Pantyuhina M.A.

Federal Center for Cardiovascular Surgery under Ministry of Health of the Russian Federation, 440071, Penza, Russia

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References:

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